EMS World

AUG 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | AUGUST 2018 47 For More Information Circle 29 on Reader Service Card A healthcare provider or institution may not literally refuse to care for an LGBT person, but the experience may not feel welcom- ing, leaving some patients feeling vulnerable and threatened. To reduce and one day eliminate this, most healthcare institutions have delivered "positive space" training to their staff to provide knowledge, suggest communication strategies, and establish performance expectations. 16 In Closing While LGBT discrimination is a moving target in the United States, most EMS services have policies that prohibit discrimination. But acceptance cannot be legislated—only a cultural shift can bring about equality. Doing your part to foster an environment that's respectful and accepting of all healthcare workers and the patients they serve could significantly affect a person's experience on what may otherwise be a very crummy day. Creating a positive space in the back of an ambulance may be difficult. But difficult is what paramedics do best. REFERENCES 1. Obergefell, et al. v. Hodges, 135 S. Ct. 2584, www.supremecour t.gov/ opinions/14pdf/14-556_ 3204.pdf. 2. Thompson IS, Strangio C. Vic tor y! Social Securit y Administration Drops Surger y Requirement for Gender Change. ACLU Washington Markup, 2013 Jun 19; www. aclu.org/blog/lgbt-right s/vic tor y-social-securit y-administration-drops-surger y- requirement-gender-change. 3. U.S. Equal Employment Oppor tunit y Commission. Fac t s About Discrimination in Federal Government Employment Based on Marital Status, Political Af fi liation, Status as a Parent, Sexual Orientation, and Gender Identit y, www.eeoc.gov/ federal/otherprotec tions.c fm. 4. GL A AD. Accelerating Acceptance 2017, www.glaad.org/publications/ accelerating-acceptance-2017; Gates GJ. In U.S., More Adult s Identif ying as LGBT. Gallup, ht tp://news.gallup.com/poll/201731/lgbt-identifi cation-rises.aspx. 5. Institute of Medicine (U.S.) Commit tee on Lesbian, Gay, Bisexual and Transgender Health. "Context for LGBT Health Status in the United States." In: The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. Washington, DC: National Academies Press, 2011. 6. Kates J, Ranji U, Beamesder fer A, et al. Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender (LGBT) Individuals in the U.S. Kaiser Family Foundation, Disparities Polic y, www.k f f.org/repor t-sec tion/health-and- access-to-care-and-coverage-for-lgbt-individuals-in-the-u-s-update-health- challenges/. 7. Kann L, Olsen EO, McManus T, et al. Sexual identit y, sex of sexual contac t s, and health-related behaviors among student s in grades 9–12—United States and selec ted sites, 2015. MMWR, 2016 Aug 12; 65(9); www.cdc.gov/mmwr/ volumes/65/ss/pdfs/ss6509.pdf. 8. Bauer GR, Scheim AI, Deut sch MB, Massarella C. Repor ted emergenc y depar tment avoidance, use, and experiences of transgender persons in Ontario, Canada: Result s from a respondent-driven sampling sur vey. Ann Emerg Med, 2014 Jun; 63(6): 713–20. 9. Teshome G, Closson F T. Emergenc y Medical Treatment and Labor Ac t: the basic s and other medicolegal concerns. Pediatr Clin Nor th Am, 2006 Feb; 53(1): 139–55. 10. Meier D. The Refusal of Care. Healthcare Risk Management Review, 2016; www.hrmronline.com/ar ticle/the-refusal-of-care. 11. U.S. Depar tment of Justice. Title VI of the Civil Right s Ac t Of 1964, 42 U.S.C. §2000d Et Seq. 12. Maggiore WA. State laws & religious beliefs. J Emerg Med Ser v, 2015 Sep 9; www.jems. com/ems-insider/ar ticles/2015/07/state-laws-religious-beliefs.html. 13. National A ssociation of Emergenc y Medical Technicians. Code of Ethic s and EMT Oath, www.naemt.org/about-ems/emt-oath. 14. American Nurses A ssociation. Code of Ethic s for Nurses With Interpretive Statement s. American Nurses A ssociation, 2015. 15. National Women's Law Center. Health Care Refusals Harm Patient s: The Threat of LGBT People and Individuals Living With HIV/AIDS, ht tps://nwlc.org/resources/health-care- refusals-harm-patient s-threat-lgbt-people-and-individuals-living-hivaids/. 16. Schneider K T, Wesselmann ED, DeSouza ER. Confronting subtle workplace mistreatment: The impor tance of leaders as allies. Front Psychol, 2017, 8: 1,051. ABOUT THE AUTHORS Michael Kruse, BSc, EMT-P, is an advanced care paramedic for York Region Paramedic Services and a medical student at McMaster University, Hamilton, Ontario. Blair Bigham, MD, MSc, EMT-P, is a former helicopter paramedic and resident emergency department physician. He has authored over 30 scientific articles, led major national projects to advance prehospital research, and participated in multiple collaboratives, including the Resuscitation Outcomes Consortium. E-mail him at blair.bigham@medportal.ca. He is a member of the EMS World Editorial Advisory Board. 888-458-6546 3121 Millers Lane Louisville, KY 40216 Tel: 502-775-8303 Fax: 502-772-0548 S A F E T Y A P P L I A N C E C O M P A N Y www.junkinsafety.com PROUDLY MANUFAC TURED IN THE USA 300 Series Lightweight Basket-Type Stretchers Lightweight Basket-Type Stretchers JSA-300-W without Leg Divider JSA-333-A Stretcher Kit Kit includes JSA-300 series stretcher, bridle sling and two safety blankets. Without accessories, order JSA-300-A Lightweight Basket-Type Stretcher only. JSA-300 with Leg Divider Featured Speakers EMS World Expo, Oct. 29-Nov. 2, 2018, Nashville, TN emsworldexpo.com

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